The aim of the study is to demonstrate non-inferiority of ANB-002 compared with preventive use of coagulation factor IX (FIX) in adult subjects with hemophilia B with FIX activity ≤2% and without FIX inhibitor. The study will have an open-label single-arm design.
After signing the ICF and screening examination the subjects are to be included in the Non-interventional lead-in period in which the subject will receive standard FIX prevention. The lead-in period will last for at least 6 month for every subject. After completiong the lead-in period subjects will enter the main (interventional) period. At the first visit of the main period subjects will recieve investigational product ANB-002. The main period ends 18 months after the administration of ANB-002, after which subjects will switch to the follow-up period and will be evaluated up to 5 years after the ANB-002 infusion.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
24
Adeno-associated viral vector carrying the FIX gene single infusion
Chelyabinsk Regional Clinical Hospital
Chelyabinsk, Russia
Annualized bleeding rate (ABR) before and after a single dose of ANB-002
A comparison will be made between the mean ABR values in the lead-in period and within 12 months after stabilization of endogenous FIX activity, but not later than 18 months after the ANB-002 dose
Time frame: Lead-in period: at least 6 months prior to ANB-002 infusion (Lead-in arm); Month 12 to Month 18 post infusion (ANB-002 arm)
FIX activity
Time frame: 18 months after drug administration; final assessment - 5 years
Annualized FIX consumption
Time frame: 18 months after drug administration; final assessment - 5 years
Proportion of subjects not receiving FIX prevention
Time frame: 18 months after drug administration
Annualized bleeding rate (ABR)
Time frame: 18 months after drug administration; final assessment - 5 years
Proportion of subjects with spontaneous bleedings
Time frame: 18 months after drug administration; final assessment - 5 years
Annualized rate of spontaneous bleedings
Time frame: 18 months after drug administration; final assessment - 5 years
Proportion of subjects with hemarthrosis
Time frame: 18 months after drug administration; final assessment - 5 years
Annualized hemarthrosis rate
Time frame: 18 months after drug administration; final assessment - 5 years
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Federal State Budgetary Organization of Science "Kirov Research Institute of Hematology and Blood Transfusions of Federal Medical Biological agency"
Kirov, Russia
RECRUITINGFederal State Budgetary Institution "National Medical Research Centre for Hematology" of the Ministry of Health of Russian Federation (Department of Clinical Diagnostics for Hematology and Hemostasis Disorders)
Moscow, Russia
RECRUITINGFederal State Budgetary Institution "National Medical Research Centre for Hematology" of the Ministry of Health of Russian Federation (Department of Traumatology and Reconstructive and Restorative Orthopedics for Patients with Hemophilia)
Moscow, Russia
RECRUITINGFederal Budgetary Institution "Moscow City Clinical Hospital named after S. P. Botkin"
Moscow, Russia
RECRUITINGState Novosibirsk Regional Clinical Hospital
Novosibirsk, Russia
RECRUITINGState budgetary healthcare institution Leningrad Regional Clinical Hospital
Saint Petersburg, Russia
RECRUITINGRussian Research Institute of Hematology and Transfusiology Federal State Institution of Federal Medical and Biological Agency
Saint Petersburg, Russia
RECRUITINGAlmazov National Medical Research Centre
Saint Petersburg, Russia
RECRUITINGFederal State Budgetary Educational Institution of Higher Education "Samara State Medical University" of the Ministry of Healthcare of the Russian Federation
Samara, Russia
RECRUITING...and 4 more locations
Proportion of subjects with bleedings requiring FIX concentrate therapy
Time frame: 18 months after drug administration; final assessment - 5 years
Annualized rate of bleedings requiring therapy with FIX concentrates
Time frame: 18 months after drug administration; final assessment - 5 years
Proportion of subjects without bleeding within 12 months after stabilization of endogenous FIX activity
Time frame: 12 months after stabilization of endogenous FIX activity
Proportion of subjects achieving clinical response
Clinical Response is defined as FIX activity 5-150%
Time frame: 18 months after drug administration
Proportion of subjects achieving a normalized response
Normalized response is defined as FIX activity 50-150%
Time frame: 18 months after drug administration